围生期心肌病的临床诊断难点

Vijayalakshmi B. Channaiah, S. Merrill, Sathees B. C. Chandra
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引用次数: 0

摘要

围产期心肌病(PPCM)是一种疾病,描述了最初的左心室功能障碍和心衰症状之间的妊娠晚期和分娩后的头五个月。PPCM是一种难以诊断的疾病,因为它类似于怀孕期间常见的心脏问题。临床表现是心衰的代表,通常误诊,直到进一步进展。这种疾病在世界上一些地区很常见,在其他地区很少见。正确的评估和快速的治疗是有效恢复的关键。后续妊娠应在用药前进行评估。本文的目的是讨论临床诊断的困难,并提供一个简洁实用的方法来治疗疑似PPCM。
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Difficulties in clinical diagnosis of peripartum cardiomyopathy
Peripartum cardiomyopathy (PPCM) is a disorder which describes initial left ventricular dysfunction and symptoms of cardiac failure between the late stages of pregnancy and the first five months after delivery. PPCM is a difficult diagnosis to make because it resembles common cardiac issues that are normally experienced during pregnancy. Clinical presentation is representative of cardiac failure and is commonly misdiagnosed until further progression. This disorder is commonly seen in some regions of the world and rare in others. Proper evaluation and rapid treatment are crucial for an effective recovery. Subsequent pregnancies should be evaluated before pursuing. The purpose of this review article is to discuss the difficulties in clinical diagnosis and provide a concise and practical approach to treatment of suspected PPCM.
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